ANCA-associated giant cell arteritis presenting with mononeuritis multiplex and central retinal artery occlusion: a case report.

positive and 95%when there is a negative culture. In theUSA, 90% of adult tuberculosis cases were confirmed by culture. In contrast, only 28% of the children with tuberculosis had positive cultures, and here PCR appears to be more reliable [8]. We present the first case of extrapulmonary tuberculosis in a child with severe s-JIA treated with infliximab who also developed a fatal (opportunistic) pulmonary infection. The diagnosis of tuberculosis is difficult to make in an immunocompromised host. One must be alert to alarming symptoms indicating possible tuberculosis, even in children without risk factors. While a patient is on immunosuppressive therapy, one must look out for opportunistic infections and the possibility of an atypical presentation.